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Adhie Nur Radityo
Staf pengajar Bagian Ilmu Kesehatan Anak FK Undip, Jl. Dr. Sutomo No.18 Semarang
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PENGARUH DURASI KANGAROO MOTHER CARE TERHADAP PERUBAHAN TANDA VITAL BAYI Zahra, Sabrina Aulia; Radityo, Adhie Nur; Mulyono, Mulyono
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 7, No 2 (2018): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.284 KB) | DOI: 10.14710/dmj.v7i2.21192

Abstract

Latar belakang: Bayi berat lahir rendah dan bayi berat lahir sangat rendah cenderung terjadi ketidakstabilan tanda vital. Kangaroo Mother Care (KMC) merupakan salah satu perawatan yang efektif bagi bayi prematur. Metode KMC mampu mengoptimalisasikan tanda vital bayi.Tujuan: Menganalisis pengaruh durasi kangaroo mother care  terhadap perubahan tanda vital bayi pada bayi berat lahir rendah dan bayi berat lahir sangat rendah usia 0-28 hari.Metode: Penelitian kuasi eksperimental pretest and posttest one group design dilaksanakan di RSUP Dr. Kariadi Semarang. Subjek penelitian adalah bayi berat lahir rendah dan bayi berat lahir sangat rendah usia 0-28 hari, telah stabil, dan belum pernah dilakukan KMC sebelumnya. Subjek kemudian dilakukan KMC selama 2 jam dan diukur tanda vitalnya sebelum, setelah 1 jam KMC, dan setelah 2 jam KMC. Analisis statistik yang digunakan adalah uji Repeated ANOVA post- hoc Bonferroni dan uji Friedman.Hasil: Penelitian menggunakan 22 bayi dengan 3 bayi dropout. Analisis data menggunakan 19 bayi. Terdapat perbedaan yang signifikan pada rerata suhu (p<0,001 vs p<0,001), denyut jantung (p=0,054 vs p<0,001), laju pernapasan (p=0,058 vs p<0,001), dan saturasi oksigen(p=0,004 vs p=0,001) antara KMC 1 jam dan KMC 2 jam. Tidak terdapat perbedaan yang signifikan pada median tekanan sistolik (p=0,159) dan tekanan diastolik (p=0,727) antara KMC 1 jam dan KMC 2 jam.Kesimpulan: Durasi Kangaroo Mother Care 2 jam memberikan pengaruh lebih baik pada suhu, denyut jantung, laju pernapasan, dan saturasi oksigen bayi daripada durasi 1 jam, sedangkan pada tekanan darah tidak memberikan perubahan.
Coronavirus Disease 2019 (COVID-19) Pada Anak (Studi Literatur) Anantyo, Dimas Tri; Kusumaningrum, Ayu Anggraini; Rini, Arsita Eka; Radityo, Adhie Nur; Rahardjani, Kamilah Budhi; Sarosa, Gatot Irawan
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1A (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (395.552 KB) | DOI: 10.36408/mhjcm.v7i1A.479

Abstract

Latar Belakang: Pandemi Novel Coronavirus Disease 2019 (COVID-19) yang disebabkan oleh virus SARS CoV-2 ini berawal dari Wuhan, China, menyebar ke lebih dari 200 negara dan mengakibatkan puluhan ribu kematian termasuk anak. Studi literatur yang membahas COVID-19 pada orang dewasa mulai bermunculan, namun pada anak masih terbatas. Dalam studi literatur ini kami mengulas beberapa artikel ilmiah dan literatur terbaru tentang COVID-19 pada anak yang dipublikasikan sejak Januari 2020 hingga akhir Juli 2020, khususnya manifestasi klinis dan pemeriksaan penunjang. Metode: Mengulas publikasi 35 literatur ilmiah mengenai COVID-19 anak pada jurnal seperti Pubmed, Google Scholar, Science Direct, The Lancet sejak Januari hingga Juli 2020. Hasil: Kejadian COVID-19 pada anak lebih rendah dan memiliki gejala yang lebih ringan dibandingkan orang dewasa. Gejala yang sering muncul adalah batuk, faring hiperemis, dan demam. Belum ada bukti jelas mengenai kejadian transmisi intrauterine yang dilaporkan. Prognosis menunjukkan respon terapi yang baik dan pemulihan yang lebih cepat dibandingkan dengan orang dewasa. Kesimpulan: Kejadian COVID-19 lebih rendah, manifestasi klinis lebih ringan dan prognosis lebih baik pada anak dibandingkan dengan orang dewasa. Kata kunci: COVID-19, anak, studi literatur Background: The Novel Coronavirus Disease 2019 (COVID-19) pandemic caused by the SARS CoV-2 virus originated in Wuhan, China, spread to more than 200 countries and resulted in tens of thousands of deaths including children. Literature studies discussing COVID-19 in adults are starting to emerge, but in children it is still limited. In this literature study, we review some of the latest scientific articles and literature on COVID-19 in children published from January 2020 to the end of July 2020, in particular clinical manifestations and supporting examinations. Methods: Reviewing 35 scientific literatures about children with COVID-19 in journals such as Pubmed, Google Scholar, Science Direct, The Lancet from January to July 2020. Results: The incidence of COVID-19 in children was lower and had milder symptoms than adults. Symptoms that often appear are cough, hyperemic pharynx, and fever. There was unclear proof of intrauterine transmission. The prognosis of children with COVID-19 showed a good response to therapy and faster recovery compared to adults. Conclusion: The incidence of COVID-19 is lower, the clinical manifestations are milder, and the prognosis is better in children compared to adults. Keywords: COVID-19, children, literature study
Karakteristik Bayi Baru Lahir dari Ibu Terkait COVID-19 di RSUP Dr. Kariadi Semarang Radityo, Adhie Nur; Rini, Arsita Eka; Anam, Moh Syarofil; Sarosa, Gatot Irawan
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1A (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.32 KB) | DOI: 10.36408/mhjcm.v7i1A.481

Abstract

Latar belakang Kejadian kasus COVID-19 pada bayi belum banyak dilaporkan dan mekanisme penularan terhadap bayi baru lahir masih belum jelas. Tujuan Melaporkan perbedaan karakteristik bayi baru lahir dari ibu terkait COVID-19 di RSUP Dr. Kariadi Semarang Metode Penelitian retrospektif dengan data sekunder catatan medik bayi baru lahir dari ibu terkait COVID-19 di RSUP dr Kariadi Semarang pada periode April-Mei 2020 dengan kelompok pembanding bayi baru lahir dari ibu tidak terkait COVID-19. Kriteria inklusi semua bayi lahir dari ibu terkait COVID-19 dirawat di rumah sakit dan dilakukan pemeriksaan PCR dengan spesimen swab nasofaring. Data yang dikumpulkan adalah usia kehamilan, jenis kelamin, berat lahir, cara persalinan, usia ibu dan jenis minum yang diberikan pada bayi. Dilakukan uji beda menggunakan uji chi square dan shapiro wilk. Analisis data menggunakan program komputer SPSS. Hasil Dari 46 sampel penelitian terdiri dari 23 bayi lahir dari ibu terkait COVID-19 dan 23 bayi lahir dari ibu tidak terkait COVID-19 dilakukan analisis dengan hasil tidak terdapat perbedaan bermakna dari usia kehamilan, berat lahir, cara persalinan dan usia ibu. Pada kelompok bayi lahir terkait COVID-19 mayoritas lahir dengan jenis kelamin perempuan (74%) dan jenis minum yang diberikan sekitar 86% dengan susu formula. Tidak ada bayi yang mendapat ASI eksklusif pada bayi yang lahir dari ibu terkait COVID-19. Semua bayi yang lahir dari ibu terkait COVID-19 didapatkan hasil swab nasofaring negatif dan tidak menunjukkan gejala apapun sampai dengan pulang. Simpulan Tidak didapatkan perbedaan karakteristik usia kehamilan, berat lahir, cara persalinan dan usia ibu. Terdapat perbedaan karakteristik jenis kelamin dan jenis minum yang diberikan pada kedua kelompok penelitian. Keyword: bayi baru lahir, COVID-19 Background The incidence of COVID-19 cases in newborn has not been widely reported and the mechanism of transmission to the newborn is unclear. Objective To report the characteristics of newborns from mothers related to COVID-19 at Kariadi Hospital Semarang. Method Retrospective study with secondary data on medical records of newborns from mothers related to COVID-19 at Kariadi Hospital in the April-May 2020 period with a comparison group of newborns from mothers not related to COVID-19. Criteria for inclusion of all infants born to mothers associated with COVID-19 were hospitalized and PCR examination carried out with nasopharyngeal swab specimens. Data collected were gestational age, sex, birth weight, mode of delivery, maternal age and type of dietary given to the baby. Analysis tests were performed using chi square test and Shapiro Wilk. Data analysis using SPSS computer programs Result Of the 46 study samples consisting of 23 babies born to mothers related to COVID-19 and 23 babies born to mothers not related to COVID-19 were analyzed with the results that there were no significant differences in gestational age, birth weight, mode of delivery and maternal age. In the group of babies born with COVID-19 the majority were born with a female sex (74%) and the type of dietary given was around 86% with formula milk. No baby gets exclusive breastfeeding for babies born to mothers related to COVID-19. All babies born to mothers related to COVID-19 obtained negative nasopharyngeal swab results and did not show any symptoms until discharge. Conclusion There were no differences in the characteristics of gestational age, birth weight, mode of delivery and maternal age. There were differences in the characteristics of the sexes and types of dietary given in the two study groups. Keyword: newborn, COVID-19
CORRELATION BETWEEN VITAMIN D LEVELS AND PEDIATRIC ANTHROPOMETRY STATUS IN NEONATES Sari, Tri Elina; Muslimin, Muslimin; Radityo, Adhie Nur; Pratiwi, Rina
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.89 KB) | DOI: 10.36408/mhjcm.v9i1.627

Abstract

Background: Problems of vitamin D deficiency is now starting to become a concern in the world because 1 million people worldwide have vitamin D deficiency and nearly 50% have vitamin D insufficiency. Vitamin D deficiency is more common in neonates which can increase the risk of low birth weight and also effect on baby length, head circumference. Aim: Understanding the correlation between vitamin D levels and anthropometric status in neonates.Method: This study used an observational analytic study with a cross sectional approach. The research sample was neonates at term. The data from questionnaires and direct anthropometric measurements on neonates who came to delivery room and pediatric polyclinic of the Diponegoro National Hospital, Semarang and Dr. Kariadi General Hospital, Semarang. The data normality test used the Saphiro-Wilk test. Correlation test between vitamin D levels and anthropometric status using the Pearson test, and test levels of vitamin D with nutritional status (WHZ, WAZ, HAZ) using the Spearman test.Results: Median (min-max) neonatal vitamin D levels were 12.12 (6.09 - 19.52). There was no significant correlation between vitamin D levels and neonatal age, neonatal anthropometric status, maternal sun exposure and neonatal diet type. This is influenced by several other factors that are consistent with the theory such as neonatal nutrition, genetics, time and length of sun exposure, poor dietary intake.Conclusion: There was no significant correlation between vitamin D levels and weight, body length, height, nutritional status of WHZ, WAZ, HAZ in neonates.
Factors affecting the incidence of birth asphyxia before and after the helping babies breathe training first in Grobogan, Central Java Firdausy, Dania Emeralda; Radityo, Adhie Nur; Wiyati, Putri Sekar; Sareharto, Tun Paksi
Basic and Applied Nursing Research Journal Vol 4 No 2 (2023): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.04.02.08

Abstract

Introduction: This study aims to examine the association between factors affecting birth asphyxia and its incidence a year before and after HBB first training conducted in Grobogan, Central Java. Methods: This research was an analytical observational preliminary study with a cross-sectional design. Birth records data collected from 30 primary health care from January to December 2020 in Grobogan, Central Java. Data analyzed with a computer statistical analysis program using χ2 test and Fisher's exact test. Result: Based on 191 medical records from infants born during the year before and 186 medical records from infants born during the year after HBB training, there was an 11.5% decrease in the incidence of birth asphyxia compared before and after the training. Results of the χ2 test showed a significant association between the HBB training with the incidence of birth asphyxia (p = 0.014). Before the HBB training, prematurity has a significant association with the prevalence of birth asphyxia (p < 0.001). Furthermore, there is no associated factor that has a significant association with the prevalence of birth asphyxia after the training (p> 0.05). Conclusion: There is a significant decrease in the incidence of birth asphyxia compared between the year after and 1 year before HBB training. Meanwhile, prematurity has a significant association with the incidence before HBB training.
Co-Authors Anam, Moh Syarofil Anantyo, Dimas Tri Arsita Eka Rini Firdausy, Dania Emeralda Gatot Irawan Sarosa, Gatot Irawan Kamilah Budhi Rahardjani, Kamilah Budhi Kusumaningrum, Ayu Anggraini Mulyono Mulyono Muslimin Muslimin Putri Sekar Wiyati Rina Pratiwi Sari, Tri Elina Tun Paksi Sareharto Zahra, Sabrina Aulia